Rothenberg Steven S
Department of Pediatric Surgery, The Rocky Mountain Children's Hospital, Denver, CO 80218, USA.
Semin Pediatr Surg. 2007 Nov;16(4):231-7. doi: 10.1053/j.sempedsurg.2007.06.004.
Thoracoscopy in infants and children has undergone a dramatic evolution in the last 30 years. From its infancy in the mid-1970s, limited procedures such as biopsy and pleural lysis, were pioneered by Rogers and others, and in the late 1990s, the most delicate of procedures, a tracheo-esophageal fistula repair, was performed thoracoscopically for the first time. During the last 20 years, it has become clear that the most commonly performed thoracic procedures in the pediatric age group, lung biopsy and resection, are clearly best performed using these advanced thoracoscopic techniques. New instrumentation and advanced skills now make thoracoscopic lung resection the preferred approach and help avoid the significant morbidity associated with thoracotomy in the pediatric age group.
在过去30年里，婴幼儿和儿童的胸腔镜检查经历了巨大的发展。从20世纪70年代中期的起步阶段，Rogers等人率先开展了诸如活检和胸膜松解等有限的手术，到20世纪90年代后期，最精细的手术——气管食管瘘修复术首次通过胸腔镜进行。在过去20年里，很明显，儿科年龄组最常进行的胸部手术——肺活检和切除术，使用这些先进的胸腔镜技术显然是最佳选择。新的器械和先进的技术现在使胸腔镜肺切除术成为首选方法，并有助于避免儿科年龄组开胸手术相关的显著发病率。
